Intramuscular Vitamin K Newborn Injection Site

Intramuscular im injections in neonates may be required to administer medications or vaccines.

Intramuscular vitamin k newborn injection site. 95 confidence interval ci. Show more show less. Benzyl alcohol 9 mg added as preservative. Some babies have a slight soreness for a day or so at the injection site.

Of 102 878 newborns from 35 better outcomes through research for newborns sites parents of 638 0 6 refused im vitamin k administration. The lateral aspect of the middle third of the vastus lateralis muscle. To administer the injection which site should the nurse select. However the protocols for administration route of administration dosage number of doses remain a subject of discussion.

Vitamin k1 injection phytonadione injectable emulsion usp is a yellow sterile nonpyrogenic aqueous dispersion available for injection by the intravenous intramuscular and subcutaneous routes. Temporary flushing taste changes dizziness. The main advantage of a vitamin k injection given through the intramuscular route in the thigh is that your baby will only need one dose puckett and offringa 2000. Vitamin k injections have been routinely given in australia for over 20 years with no ill effects at the time of the injection or later.

Treatment of hemorrhagic disease of the newborn empiric administration of vitamin k1 should not replace proper laboratory evaluation of the coagulation mechanism. Vitamin k should be administered to all neonates at birth or immediately afterwards. Medications are injected into the bulkiest part of the vastus lateralis thigh muscle which is the junction of the upper and middle thirds of this muscle. Each milliliter contains phytonadione 2 or 10 mg polyoxyethylated fatty acid derivative 70 mg dextrose hydrous 37 5 mg in water for injection.

In 2019 the american academy of pediatrics made public education about intramuscular vitamin k administration at birth a public health priority partly in response to reports of refusal of intramuscular vitamin k by parents of newborns that led to vitamin k deficiency bleeding vkdb. We reviewed the literature on the frequency of reported reasons for and factors associated with refusal of. Pain swelling or soreness at the injection site may occur. It s also more effective for preventing hdn.

Vitamin k injections remain the best preventive measure for reducing the risk of haemorrhagic disease of the newborn. Bleeding in newborn baby due to low vitamin k. Frequency of refusal at individual sites varied from 0 to 2 3. Vitamin k deficiency can account for vitamin k deficiency bleeding vkdb which occurs in 3 forms early classic and late.

A single intramuscular dose of vitamin k1 injection 0 5 to 1 mg within one hour of birth is recommended. The anterolateral thigh is the preferred site for im injection in infants under 12 months of age.